- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- Chapter:
- (p.237) 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- Source:
- Applied Ethics in Mental Health Care
- Author(s):
Claire L. Pouncey
Jonathan M. Lukens
- Publisher:
- The MIT Press
The mental health recovery movement promotes patient self-determination and opposes coercive psychiatric treatment. While it has made great strides towards these ends, its rhetoric impairs its political efficacy. The authors illustrate how psychiatry can share recovery values and yet appear to violate them. In certain criminal proceedings, for example, forensic psychiatrists routinely argue that persons with mental illness who have committed crimes are not full moral agents. Such arguments align with the recovery movement’s aim of providing appropriate treatment and services for people with severe mental illness, but contradict its fundamental principle of self-determination. The authors suggest that this contradiction should be addressed with some urgency, and we recommend a multidisciplinary collaborative effort involving ethics, law, psychiatry, and social policy to address this and other ethical questions that arise as the United States strives to implement recovery-oriented programs.
Keywords: Forensic psychiatry, Recovery, Ethics, Law, Mental Health Policy
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- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
